Bohnert, Bradley Joseph

Bohnert, Bradley Joseph is an individual health care provider with primary practice located at 677 N Wilmot Rd , Tucson AZ 85711-2701. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Bohnert, Bradley Joseph can be contacted via phone (520) 795-2889.

Contact Information

Primary practice address
677 N Wilmot Rd Tucson AZ 85711-2701
Phone: (520) 795-2889
Fax: (520) 795-6321
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 26545 Arizona
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 26545 Arizona
Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging 2085D0003X 26545 Arizona

Profile Details

NPI number 1073583365
LBN Legal business name Bohnert, Bradley Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Feb 27th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073583365 NPPES
Arizona Other ZWCBBM GROUP MEDICARE ID
Arizona MEDICAID 508989 GROUP MEDICARE ID
Arizona Other CS7943 GROUP MEDICARE ID
Arizona Other 005472 GROUP MEDICARE ID
Arizona Other 1073583365 GROUP MEDICARE ID
Arizona Other 1841261989 GROUP MEDICARE ID
Arizona Other 300111649 GROUP MEDICARE ID

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